Organization Name: | SOLAMOR HOSPICE CORPORATION |
NPI Number: | 1003850694 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLEN CAVALLO (PRESIDENT) |
Mailing Address: | 4 Oxford Rd Suite E4 Milford |
State: | CT US |
Postal Code: | 064603855 |
Phone Number: | 2033010489 |
Fax Number: | 2033010632 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 06/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 0022 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |